Re: Citalopram - Up to 30?
Originally Posted by
Jebdog
So the gp has put me up to 30mg, I’m on day 5 and no relief yet, will it take 4-6 weeks with the dose increase? If anything I’m a little more anxious/flat, is that normal?
It will likely take some weeks for the increased dose to work. How many I can't say as there are too many variable, but 4-6 weeks is probably a good guess.
Anyone had experience of a dose increase helping after some time? Is it known to work?
There is a good chance it will and it is the fastest and easiest option. But there are no guarantees. ADs do sometimes poop-out and the more often they are stopped and restarted the more likely this becomes, unfortunately.
If it doesn’t help out, do I still have hope with other SSRI’s? I’m concerned I’m running out of options. I’ve tried Fluoxetine but didn’t find it helped all that much.
Yes, other SSRIs may work, but even if none do there are plenty of other options. SSRIs are not the first choice ADs because they are the most effective, but because they are perceived to be safer in overdose, although this isn't true of all of them. Some of the alternatives such as the TCAs and MAOIs are often more effective (the latter especially for treatment-resistant anxiety, or depression) and usually less prone to poop-out. I've been taking my current TCA continually for about 25 years and it is working as well now as when I started, albeit that I've always needed to take more than the recommended maximum dose.
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The opinions expressed above are based on my observations and, where applicable, interpretation of cited data and are general in nature. Consult your physician before acting on anything stated.